Individual provider · Type 1 NPI

Marie Augustina Escamilla, NUTRITIONIST

Nutrition Education Nutritionist · Portland, OR

NPI number 1205698784 Active

Practice location

2230 NW Pettygrove St Ste 110
Portland, OR 97210-2659

Mailing address

5621 NE 30th Ave
Portland, OR 97211-6807

Specialties and licenses

TaxonomyCodeLicense
Nutrition Education Nutritionist Primary 133NN1002XNone listed

Nutrition Education Nutritionist: Definition to come...

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About NPI 1205698784

Marie Augustina Escamilla, NUTRITIONIST's National Provider Identifier is 1205698784, issued on Jan 29, 2024. The primary taxonomy on file is Nutrition Education Nutritionist (133NN1002X), and the practice location is in Portland, OR. The record was last updated on Jan 29, 2024.